NCT06257511

Brief Summary

Teams of several medical professionals conduct high-risk cardiac surgical procedures. These professionals work in complex, stressful operating room environments requiring effective communication and teamwork skills. Surgeons, anesthesiologists, perfusionists, nurses, and surgical technicians working in this environment are also vulnerable to human errors. Non-technical skills for surgeons (NOTSS), defined as cognitive skills (situation awareness, decision making) and social skills (leadership, communication, and teamwork) underpinning medical knowledge and technical skills, are essential contributors to better cardiac surgery outcomes. Yet most of the surgical education programs focus only on technical skills, and interventions to improve the non-technical skills of cardiac surgical teams are scarce. The proposed research will develop and pilot-test and evaluate the preliminary effectiveness of an intervention to improve the non-technical skills of cardiac surgical teams.

Trial Health

45
At Risk

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Timeline
50mo left

Started Jun 2025

Longer than P75 for not_applicable

Status
withdrawn

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

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Study Timeline

Key milestones and dates

Study Progress19%
Jun 2025Jun 2030

First Submitted

Initial submission to the registry

January 29, 2024

Completed
16 days until next milestone

First Posted

Study publicly available on registry

February 14, 2024

Completed
1.3 years until next milestone

Study Start

First participant enrolled

June 1, 2025

Completed
5 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

June 1, 2030

Expected
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

June 1, 2030

Last Updated

April 27, 2025

Status Verified

January 1, 2024

Enrollment Period

5 years

First QC Date

January 29, 2024

Last Update Submit

April 23, 2025

Conditions

Outcome Measures

Primary Outcomes (1)

  • Non-technical skills behaviors of the members of the cardiac surgical teams

    Investigators will use the Non-Technical Skills for Surgery (NOTSS) rating tool to evaluate the effectiveness of the non-technical skills educational intervention on participants' intraoperative non-technical skills.

    Non-technical skills will be measured before the intervention, immediately after the intervention, and six months after the intervention

Secondary Outcomes (2)

  • Intraoperative performance of the cardiac surgical teams

    For each of the cardiac surgeons who will participate in the study, the investigators will compare baseline data (six months collected before implementing the NOTSCS intervention), with data collected after the NOTSCS intervention (six months data).

  • Rate of patients with patients with intraoperative bleeding requiring transfusion, and unplanned return to the operating room

    Data for six months before and six months after the intervention

Study Arms (2)

Non Technical Skills for Cardiac Surgery (NOTSCS) intervention group

EXPERIMENTAL

These are the members of the cardiac surgical teams who will be trained in the non-technical skills.

Behavioral: Simulation-Based Mastery Learning of the Non-technical skills

Control group

NO INTERVENTION

These are members of the cardiac surgical teams who will not participate in the intervention.

Interventions

Participants will participate in a simulation-based mastery learning of the non-technical skills.

Non Technical Skills for Cardiac Surgery (NOTSCS) intervention group

Eligibility Criteria

Age18 Years+
Sexall
Healthy VolunteersYes
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • All members of the cardiac surgical teams will be eligible to participate in the study (cardiac surgeons, OR nurses, perfusionists, anesthetists...

You may not qualify if:

  • Clinicians who are not directly involved in intraoperative care of cardiac surgical patients ( for example nurses working only in the recovery room, ICU, floor)

Contact the study team to confirm eligibility.

Sponsors & Collaborators

MeSH Terms

Conditions

Coronary Artery DiseasePostoperative Hemorrhage

Condition Hierarchy (Ancestors)

Coronary DiseaseMyocardial IschemiaHeart DiseasesCardiovascular DiseasesArteriosclerosisArterial Occlusive DiseasesVascular DiseasesHemorrhagePathologic ProcessesPathological Conditions, Signs and SymptomsPostoperative Complications
0

Study Design

Study Type
interventional
Phase
not applicable
Allocation
NON RANDOMIZED
Masking
SINGLE
Who Masked
OUTCOMES ASSESSOR
Masking Details
Investigators will record videos of the participants during simulation sessions, before and after the interventions. The people assessing the non-technical skills of the cardiac surgical teams will be masked if the videos were recorded before or after the intervention.
Purpose
HEALTH SERVICES RESEARCH
Intervention Model
PARALLEL
Model Details: The goal of this project is to develop and test an intervention to improve the non-technical skills of cardiac surgical teams. The Investigators will develop, pilot test, refine, and assess the preliminary effectiveness of Non-Technical Skills for cardiac Surgery (NOTSCS) intervention on the non-technical skills of participants, operating room (OR) time, and patient post-operative complications (intraoperative bleeding, and unplanned return to the OR. Investigators will compare the outcomes between the intervention and control groups, before and after the intervention.
Sponsor Type
OTHER
Responsible Party
SPONSOR

Study Record Dates

First Submitted

January 29, 2024

First Posted

February 14, 2024

Study Start

June 1, 2025

Primary Completion (Estimated)

June 1, 2030

Study Completion (Estimated)

June 1, 2030

Last Updated

April 27, 2025

Record last verified: 2024-01

Data Sharing

IPD Sharing
Will share

The findings from this study will be at national and international conferences. Additionally, the study team will publish findings from this study in the peer-reviewed scientific journals. Along with publication, cardiac surgery-specific non-technical skills assessment tools, simulation scenarios, and debriefing templates that will be developed in this study, will be shared with the scientific community so that they can understand the process of developing and implementing this project, and possibly replicate it if they are interested. The datasets and coding book, and STATA codes will be shared to the scientific community. Quantitative data generated from this project will be made available as soon as the article gets published online. The duration of preservation and sharing of the data will be a minimum of 10 years after the funding period.

Shared Documents
STUDY PROTOCOL, SAP, ICF, CSR, ANALYTIC CODE
Time Frame
Data will be available upon completion of the study
Access Criteria
Data will be shared upon contacting the PI